IHI.org - A resource from the Institute for Healthcare Improvement
Header Image






Change the Work Environment:
Invest More Resources in Improvement

In some organizations, people spend more than a full-time job getting their required tasks completed and fighting the fires created in their work. The only changes made are reactions to problems or changes mandated outside the organization. To break out of this trap, management must learn how to start investing time in developing, testing, and implementing changes that will lead to improvements. Some methods to focus resources on improvement include substituting improvement for non-value-added work, use of full-time "SWAT" teams assigned to a process or outcome, assignment of positions in research and development to process improvement, use of industrial engineers in service industries, and the use of relief operators or temporary workers.




Examples of Tests of this Change

Leaders in health care who have system-wide improvement plans have taken the time to train a cadre of front-line staff in improvement methods so that the skills for improvement are widespread throughout the organization.

While a very important improvement project is under way, leaders may deploy two or three key senior executives to assist the improvement team in removing barriers to their work.

Organizations can support innovation by authorizing "pilot" projects or "skunk works." These may be care units in a hospital setting or specific clinics in an outpatient setting that are charged with developing new systems of care. These sites often need special resources to support their testing and innovation, but the return on investment comes when a new, more efficient and effective system is ready for roll-out across the organization.